Setting cash prices is an important step, not only in getting the Workflow Services platform set up correctly, but to ensure you are maximizing your revenue opportunity and staying in compliance with any payor contracts you might have. While we cannot provide specific guidance to you on what those prices should be, due to compliance reasons, we can provide some recommendations on tools to get you started.
A helpful starting point is the CMS Physician Fee Schedule, which lists Medicare's published rates for a wide range of clinical services by CPT code. These rates are publicly available and can give you a useful reference point as you think through your own pricing. You can find the fee schedule here: https://www.cms.gov/medicare/payment/fee-schedules/physician
If you want to look up rates for specific services or codes, the CMS Physician Fee Schedule Look-Up Tool is an easy way to search: https://www.cms.gov/medicare/physician-fee-schedule/search/overview
Many pharmacies use Medicare rates as an anchor and set their cash prices based on a percentage of those published rates. Your region, your cost of supplies, and your patient population will all factor into what makes sense for your pharmacy. Review your local market and set prices that reflect your specific situation.